Individual provider · Type 1 NPI

Tiffany Juliana Mordente

Mental Health Counselor · Massapequa Park, NY

NPI number 1417641986 Active

Practice location

4770 Sunrise Hwy Ste 102
Massapequa Park, NY 11762-2911

Call (516) 406-8991 Map

Mailing address

5 Olive Ct
Farmingville, NY 11738-1923

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP119572 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1417641986

Tiffany Juliana Mordente's National Provider Identifier is 1417641986, issued on Jun 6, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Massapequa Park, NY. The record was last updated on Jul 20, 2026.